Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Restraints Observation

  • Physican order present in Meditech system

  • Date and time restraints initiated documented

  • Restraints status is documented every two hours

  • Sign of injury is documented

  • Can two finger breath fit under the restraints

  • Is restraints secured on the immovable part of the bed

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